Barton School District Classified Job Application

Barton School District

Classified Job Application
Basic Information
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Birth Date*

MonthDayYear
Date
Birth Date*

MonthDayYear
Social Security Number*
Are you married?*

YesNo
Name of Husband or Maiden Name of Wife
What position are you seeking?*
Ex: Aide, Cafeteria Worker
Previous Work Experience

List 2 previous employers starting with the most recent.
Company Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Supervisor*
Starting Position*
Last Position
Rate of Pay*
Dates of Employment*
Why did you leave?*
Company Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Supervisor*
Starting Position*
Last Position
Rate of Pay*
Dates of Employment*
Why did you leave?*
References

Please give name, occupation, present address, zip code, and telephone number or 4 references (not relatives or previous employers) who have known you for atleast 3 years.
Reference 1*
Reference 2*
Reference 3*
Reference 4*
Other Information
When can you begin work?*

MonthDayYear
Date
When can you begin work?*

MonthDayYear
Have you ever been convicted of a felony?*

YesNo
If yes, please explain.
Are you currently on the child maltreatment registry?*

YesNo
Do you have any physical or mental conditions which would prevent you from performing any of the normal job functions for which you are applying?*

YesNo
Are you a veteran or the spouse of a veteran?*

YesNo
Act 444 of 2013 requires the Barton-Lexa School to provide preference to veterans and veterans' spouses in the areas of applications and hiring. In order to receive the preference, you must complete this section of the Certified Job Application at attch all required documents.
Please select the category that best describes you.

A veteran under age fifty-five (55)A veteran who is over the age fifty-five (55), disabled (it is not necessary that the disability is service-connected), and entitled to a pension or compensation under existing lawsA veteran that suffers from a service-connected disabilitySpouse of a deceased veteran who is unmarried at the time of hiringSpouse of a veteran who suffers from a service-connected disability
Form DD-214 indicating honorable discharge

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A letter dated within the last six (6) months from the applicant's command indicating years of service in the National Guard or Reserve Forces as well as the applicant's current status.

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Birth Certificate

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Marriage License

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Death Certificate

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Disability letter from the Veteran's Administration, in the case of an applicant with a service-related disability.

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In the case of a veteran who is over the age fifty-five (55), disabled (it is not necessary that the disability is service-connected), and entitled to a pension or compensation under existing laws, a letter from the veteran's physician indicating disability, dated within the last six (6) months.

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If you would like to submit the required documentation for Act 444 of 2013 differently than attaching them to this application, please describe how you would like to submit the information.
Mail to the school or hand deliver to the school
Cover Letter and Resume
Cover Letter

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Resume

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You may contact Barton School District at P.O. Box 97, Barton, Arkansas 72312 or call 870-572-7294.
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Basic Information

Previous Work Experience

Other Information

Cover Letter and Resume